Molecularmd Corp.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOLECULARMD CORP.

Practice address

1341 SW Custer Dr
Portland, OR 97219

Phone

(503) 459-4974

Fax

(503) 459-4976

NPI assigned

Mar 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan E Dunlap

Title

SVP, Cfo

Phone

(503) 459-4974

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad D Galderisi, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, OR
  • NPI 1689781056
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1124156062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 SW CUSTER DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192750",
            "telephone_number": "503-459-4974",
            "fax_number": "503-459-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 SW CUSTER DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97219",
            "telephone_number": "503-459-4974",
            "fax_number": "503-459-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULARMD CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SVP, CFO",
        "authorized_official_telephone_number": "503-459-4974"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276220",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawdon Molavi, M.D.
• Kathryn Molczan, CRNP
• Lindsay Moldovan
• Ashlie M Mole, M.A.
• Erika Molebash
• Molecularmd, Corp
• Sebastian Molfa
• Diego Molina Ochoa, MD
• Maria Pia Molina-Sefchick, MD
• Alejandro Jose Molina, MD

• Clinical Medical Laboratory in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.